RT Book, Section
A1 Chiles, Catherine
A1 Wise, Thomas N.
A2 Ebert, Michael H.
A2 Loosen, Peter T.
A2 Nurcombe, Barry
A2 Leckman, James F.
SR Print(0)
ID 3292396
T1 Chapter 49. Consultation–Liaison Psychiatry
T2 CURRENT Diagnosis & Treatment: Psychiatry, 2e
YR 2008
FD 2008
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-142292-5
LK accessmedicine.mhmedical.com/content.aspx?aid=3292396
RD 2024/04/19
AB Consultation–Liaison  Psychiatry  is  a  centuries-old  field  of  medical  practice  and  research  that  bridges  the  biological,  psychological,  and  social  domains  of  psychiatric  and  medical  illnesses.  Since  2003,  it  has  been  recognized  by  the  American  Board  of  Medical  Subspecialties  as  the  psychiatric  subspecialty  Psychosomatic  Medicine,  based  upon  its  historical  nomenclature.  The  practice  of  Consultation  Psychiatry  usually  occurs  within  general  hospital  settings.  The  standard  consultation  is  performed  at  the  request  of  the  primary  clinician,  and  is  a  neutral  collaboration  with  colleagues  and  patients  in  nonpsychiatric  settings.  Interview  techniques  in  consultations  may  be  open-ended  for  an  individual  patient's  diagnostic  evaluation  or  structured  to  screen  for  psychiatric  disorders  in  a  general  population.  Often  a  combination  of  both  techniques  is  utilized.  A  central  role  of  the  consultation  psychiatrist  is  to  educate  colleagues  and  patients  about  the  psychiatric  presentations  or  complications  of  medical  illness  and  about  illness  behavior.  Liaison  Psychiatry  expands  the  role  of  the  psychiatrist  to  facilitate  comprehensive  treatment  approaches  within  a  system  of  care  and  to  enhance  communication  among  disciplines  and  across  divisions  in  health  care  systems.  The  liaison  psychiatrist  is  often  a  member  of  a  multidisciplinary  care  team,  performing  psychiatric  screenings,  for  example  in  organ  transplant  surgery  or  oncology,  when  the  risks  of  psychiatric  comorbidity  are  expected  to  be  higher.